Janine F. Small, LICSW

NPI #1528100260 in Bomoseen, Vermont

Provider Information

NPI Number: 1528100260
Entity Type: Individual
Name: Janine F. Small, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Feb 12, 2007
Last Updated: Oct 11, 2016

Practice Location

Address: 275 ROUTE 30 N
City: Bomoseen
State: Vermont
ZIP Code: 05732-9647
Phone: (802) 468-5641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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